Individual provider Active NPI

Jacob Robert Goeller, DC

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1235965831
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
127690 Issued in IA
Practice address
4225 Glass Rd NE Ste a
Cedar Rapids, IA 52402-2564
Phone
(319) 362-3601
NPI assigned
Sep 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 127690 IA Primary

Addresses

Primary practice location

4225 Glass Rd NE Ste a
Cedar Rapids, IA 52402-2564

Mailing address

6902 Doubletree Rd NE
Cedar Rapids, IA 52402-7278
Phone (319) 939-8270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251001000323 IA Practitioner - Chiropractic 2769988526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Family Chiropractic LLCGroup PAC ID 7315225679, 4 clinicians

Practice addresses (Care Compare)

513 Court St
Williamsburg, IA 52361-9429
Phone (319) 668-8196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
127690IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cummings Family Chiropractic PC Chiropractor CurrentSince Sep 15, 2024 Accepting new patients
Resolve Medical PLLC CurrentSince Jul 5, 2026 Accepting new patients
Agape Family Chiropractic, LLC Chiropractor CurrentSince Sep 8, 2025 Accepting new patients
Goeller Chiropractic PC Chiropractor CurrentSince May 11, 2025 Accepting new patients

Locations

4225 Glass Rd NE
Ste A
Cedar Rapids, IA 52402
Phone (319) 362-3601

513 Court St
Williamsburg, IA 52361
Phone (319) 668-8196

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1235965831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6902 DOUBLETREE RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027278",
            "telephone_number": "319-939-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 GLASS RD NE STE A",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022564",
            "telephone_number": "319-362-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOELLER",
        "first_name": "JACOB",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-10",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "127690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.